# MITCHELL C LATTER M D INC A PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mitchell C Latter MD Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962649210
- **Authorized official:** DR. MITCHELL CURTIS LATTER M.D. (PRESIDENT)
- **Authorized official phone:** (626) 799-9588

## Contact information

- **Practice address:** 1499 HUNTINGTON DR, SUITE 508, SOUTH PASADENA, CA 91030-5464
- **Practice address phone:** (626) 799-9588
- **Practice address fax:** (626) 799-9339
- **Mailing address:** 1499 HUNTINGTON DR, SUITE 508, SOUTH PASADENA, CA 91030-5464
- **Mailing address phone:** (626) 799-9588
- **Mailing address fax:** (626) 799-9339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G40013 | CA | Yes |

## Other

- **Enumeration date:** 01/08/2009
- **Last updated:** 09/14/2023